A Painful Experience-Prevent Mistakes

I am happy for people. I consider it a fault sometimes, especially when it compromises my goals. I realized this need to be held early in my life and this leads to an aversion to confrontation and inability to assert itself. I am not a quick on its feet with verbal jokes, and sometimes my silence be construed as a concession. Being aware of this movement, I am making an effort to set limits on work and express my opinions. I expires in both my old habit of not make waves and a situation forced me to focus my efforts.

I had to deal with a patient non-service, it was a radical neck surgery days after the operation zero. I had never seen this type of surgery and the night nurse was collected for the care of it for only three hours. It has never supported this type of patients. The patient underwent a neck stoma open and stitched rubber catheter into the stoma, which ended in the stomach. bulb drainage around his neck. There were two patients in critical neck day and the patient was asleep when my shift started.

There was a written order to suction the patient q hour. I asked the night nurse to priority, exactly how did he do? She could not answer my question, she just told me just leave him, he is well fed That’s when I called to clarify the application MDon order. Instead, I deferred to the expertise of my colleague because she was a nurse more experienced than I. I asked my classmates to current trends, none of them had never supported such a patient. I asked the respiratory therapist was assigned to the patient, she knows when and how to suck? His response was, let him not touch.

The day passed, the patient’s neck using a notepad to communicate his needs. I gave him painkillers and checked on him often. Each time he replied, I’m fine. So, his family came to visit. They were urgent and full of questions. To my knowledge, when the surgical team did not visit the patient. The night shift RN told that guard resident saw the patient briefly in the morning around 5, but did not speak to the nurse. The family was frustrated by the situation.

The complaint began with me and ended with the ambient temperature and the screen is too small on TV. At this point, I would have called the MD-call to resolve the family. Instead I tried my best to respond to the wishes of the family. I spoke with the charge RN who notified the supervisor of nursing and patient relations.I tried my best to control my patience. I read the short history of laryngeal cancer patient requires a tracheostomy only a month before. Intellectually, I knew that the family was angry at diagnosis, and this was their way of handling the situation. Emotionally, I was ready to dump the patient on a second nurse.

The surgical team was finally seeing the patient at night. I had not yet developed the patient once. It was not in respiratory distress, but the point is moot. I was very strongly disciplined verbally in front of my peers and I could not do anything unless it agrees with the doctor was negligent nursing. Fortunately, the patient came to no harm.Unfortunately, I let the situation control me, and not vice versa. I was distracted by problems of non-essential and spent my time trying to please. The ultimate responsibility for me because it was my patient and my own responsibility. This event, remember that I am responsible for my patient’s environment, including visitors and that my work is the first patient, no matter if I have to be “wanted” or not.